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KMID : 0425120130510060735
Parasites, Hosts and Diseases
2013 Volume.51 No. 6 p.735 ~ p.738
Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children
Sawanyawisuth Kittisak

Chindaprasirt Jarin
Senthong Vichai
Limpawattana Panita
Auvichayapat Narong
Tassniyom Sompon
Chotmongkol Verajit
Maleewong Wanchai
Intapan Pewpan M.
Abstract
Eosinophilic meningitis, caused by the nematode Angiostrongylus cantonensis, is prevalent in northeastern Thailand, most commonly in adults. Data regarding clinical manifestations of this condition in children is limited and may be different those in adults. A chart review was done on 19 eosinophilic meningitis patients aged less than 15 years in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. Clinical manifestations and outcomes were reported using descriptive statistics. All patients had presented with severe headache. Most patients were males, had fever, nausea or vomiting, stiffness of the neck, and a history of snail ingestion. Six patients had papilledema or cranial nerve palsies. It was shown that the clinical manifestations of eosinophilic meningitis due to A. cantonensis in children are different from those in adult patients. Fever, nausea, vomiting, hepatomegaly, neck stiffness, and cranial nerve palsies were all more common in children than in adults.
KEYWORD
Angiostrongylus cantonensis, eosinophilic meningitis, children, clinical manifestation
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